Provider Demographics
NPI:1629231634
Name:KINCAID, WENDY YANG (DC)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:YANG
Last Name:KINCAID
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11650 RIVERSIDE DRIVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91602
Mailing Address - Country:US
Mailing Address - Phone:818-980-1221
Mailing Address - Fax:818-980-3221
Practice Address - Street 1:11650 RIVERSIDE DRIVE
Practice Address - Street 2:SUITE 5
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91602
Practice Address - Country:US
Practice Address - Phone:818-980-1221
Practice Address - Fax:818-980-3221
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 30898111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor